Organization Active NPI

David H Gilbert DDS Ms Mba Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Upland, CA
National Provider Identifier
1861502072
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
DAVID H GILBERT DDS MS MBA INC
Practice address
1333 E Foothill Blvd
Suite 1
Upland, CA 91786-4052
Phone
(909) 982-8888
Fax
(909) 982-8251
NPI assigned
Aug 30, 2006
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawn M Babbitt
Title
Insurance Biller
Phone
(909) 982-8888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 42654 CA
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

1333 E Foothill Blvd
Suite 1
Upland, CA 91786-4052

Mailing address

1333 E Foothill Blvd
Suite 1
Upland, CA 91786-4052
Phone (909) 982-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091110000521 CA Part B Supplier - Clinic/Group Practice 1850371063 Receives reassigned benefits from 1 practitioner
Practice locations: Upland, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1071114David H Gilbert DDS Ms Mba Inc1333 E Foothill Blvd Ste 1, Upland, CA 91786Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Locations

1333 E Foothill Blvd
Ste 1
Upland, CA 91786
Phone (909) 982-8888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1861502072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 E FOOTHILL BLVD",
            "address_2": "SUITE 1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864052",
            "telephone_number": "909-982-8888",
            "fax_number": "909-982-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 E FOOTHILL BLVD",
            "address_2": "SUITE 1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864052",
            "telephone_number": "909-982-8888",
            "fax_number": "909-982-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H GILBERT DDS MS MBA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "BABBITT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "909-982-8888"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "42654",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.